| NPI | 1124328307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J OSTOLSKI President 716-514-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F3316771) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2013-01-23 |